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Doctor insights on: Silvadene Stasis Ulcers

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Can you use silvadene (silver sulfadiazine) for stasis ulcers?

Can you use silvadene (silver sulfadiazine) for stasis ulcers?

It is used: Although silvadene (silver sulfadiazine) is used for venous ulcers, it is rarely ever necessary. Silvadene (silver sulfadiazine) actually increases the risk of infection if you don't change it and reapply it a few times a day. Antibiotic creams and ointments have been shown to have no effect on ulcer healing. The mainstay of treatment for venous ulcers is compression, walking, and treating the underlying reflux that is causing the ulcer. ...Read more

Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


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Could silvadene (silver sulfadiazine) be used for stasis ulcers?

Yes: silvadene (silver sulfadiazine) is used in many types of skin ulcers and burns
the silver has an antibiotic effect and can help wounds heal faster
stasis ulcers are best treated with pressure dressings if the arterial circulation is not compromised. ...Read more

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What cures stasis ulcers and what makes it worse?

What cures stasis ulcers and what makes it worse?

Stasis ulcers: You need to see a clinician, preferably one that specializes in these types of wounds. So long as the diagnosis is confirmed, the treatment is always some form of compression (once the arterial tree is assessed and its safe to compress). Without compression, these wounds will not heal. ...Read more

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What is the ulcer condition called stasis?

Venous stasis ulcer: Venous insufficiency presents with varying stages. Stage1=spider veins, 2=varicose veins, 3=edema, 4a= stasis changes (brownish pigmentation), 4b=skin changes (lipodermatosclerosis, atrophie blanche), 5=healed ulcer, 6= active ulcer. With stage 6, active ulcer is the worst case, and fixing the venous insufficiency will help in healing of the ulcer along with compression, local care. ...Read more

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How can you stop itching from stasis ulcers?

How can you stop itching from stasis ulcers?

Venous Stasis Ulcer: Periwound itching can be treated with a steroid cream. But itching can be a sign of other things in patients with venous stasis disease. If you have an ulceration, you should be evaluated by a professional who is familiar with wound care. Itching may be a sign, for example, of increased drainage coming from the ulcer and/or an infectious process. ...Read more

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How do you stop the itching from stasis ulcers?

How do you stop the itching from stasis ulcers?

Treat the veins: You need to have the underlying venous insufficiency treated by a qualified physician. The itching will likely not go away until the ulcer is healed. You can try a few things such as zyrtec or Benadryl (diphenhydramine) orally. ...Read more

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What are the current therapies for stasis ulcers?

What are the current therapies for stasis ulcers?

See below: Wound should be debrided of non viable tissue, and appropriate dressing applied to optimize healing and control drainage, and compression hose. If it has been treated for some time, more advanced skin substitutes like apligraf can be used. Vascular studies performed to ensure adequate bloody supply to heal the wound, and an us to assess whether vein ablation will help. ...Read more

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I was wondering what are current therapies for stasis ulcers?

I was wondering what are current therapies for stasis ulcers?

Venous stasis: The main goal for this condition is compression. Each wound requires analysis for the type of dressing to be used. ...Read more

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Can a stasis ulcer recur after treatment?

Yes: Yes. If the underlying venous insufficiency was not addressed then a recurrence will occur. Another reason is non-compliance with the use of compression socks/wraps. ...Read more

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How do you stop a venous stasis ulcer from weeping?

How do you stop a venous stasis ulcer from weeping?

Compression: The most important treatment to a venous stasis ulcer is compression wrap or hose. The compression of the wrap must sufficient to counterbalance the underlying venous hypertension. The venous hypertension vhtn is the cause of the weeping and ulcer. Vhtn pressure is the result of gravity and faulty valves. Once proper compression is applied weeping and proper wound care is applied weeping will stop. ...Read more

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What does black tissue in a venous stasis ulcer mean?

Black in ulcer: 'black' tissue can be several things in an ulcer. It can represent decayed tissue, infected tissue, affects of silver based dressings, etc. Please go to a wound center to be seen. ...Read more

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Do you have to get an abi test done before you can use compression or an unna boot on a stasis ulcer?

Compression: Great question. The edict "first do no harm" is important. In order to determine the correct and maximal compression for you, you should have some testing of the arterial tree to make sure it is safe to compress. ...Read more

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I have venous stasis ulcers. Who has the best website for easy to understand information on this subject?

I have venous stasis ulcers. Who has the best website for easy to understand information on this subject?

Website for venous: I have not come across any sites that I would consider best. Use healthtap™ to ask any questions and review the comments by the physicians that post answers here using the key words: venous stasis, chronic venous insufficiency, veins, etc. ...Read more

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Is it okay to have sex if you have a stasis ulcer?

Is it okay to have sex if you have a stasis ulcer?

Certainly!: A stasis ulcer if appropriately treated and dressed is not contraindication to having sex. Protect the area and procede! ...Read more

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Could skin tears turn into venous stasis ulcer?

Could skin tears turn into venous stasis ulcer?

Yes: Venous stasis is caused by valve problems that allow blood from deep high-pressure veins to enter low-pressure veins just under the skin. These veins enlarge, letting fluid through the walls (swelling), letting blood through (discoloration) and finally having so much back pressure that nutritious arterial blood cannot enter an area of the skin resulting in ulcers or inability to heal minor wounds. ...Read more

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Can stress cause venous stasis ulcers to worsen?

Can stress cause venous stasis ulcers to worsen?

Stress Veins: Not specifically. Stress is never a helpful thing--we do not recommend stress to help cure our patients no matter what the disease may be. Venous stasis ulcers will worsen if the underlying pathology, increased pressure of the veins, is not addressed nor treated appropriately. Other causes of worsening ulcers can include an infectious etiology also. ...Read more

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I have edema and a venous stasis ulcer. Help please?

I have edema and a venous stasis ulcer. Help please?

Vein hypertension: You need an evaluation by a clinician that understands this disease process. Seek help from your internist, wound care physician, vascular surgeon etc. ...Read more

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Can I swim in a chlorine pool with venous stasis ulcer?

No: Open wounds in a public swimming pool is discouraged for public health reasons. If it is your pool, then subjecting the ulcer to chlorine should not influence the healing process. ...Read more

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Help plz! Can skin tears turn into venous stasis ulcer?

Help plz! Can skin tears turn into venous stasis ulcer?

No: Skin tears alone don't cause venous stasis ulcers. Wounds can heal poorly with several medical conditions, including severe varicose vein disease and severe venous insufficiency -in which case they may need to be treated like a venous ulcer. A venous stasis ulcer can occur without prior skin injury and can take months to years to heal. Treatment of varicose veins before an ulcer occurs is best.. ...Read more

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What kind of doctor would I see to treat a stasis ulcer?

Stasis ulcer: Wound care physician, dermatologist, vascular surgeon, primary care doctor (family practice and or internist) -- just someone who understands this process. ...Read more

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What is the diagnosis code for open venous stasis ulcers?

Coding: Not sure why codes are important to you.
There are a group of codes that describe venous hypertension, with and without inflammation, and with and without ulceration.
There are another set of codes that describe ulcerations and these vary depending on the location along the lower extremity that they are found. ...Read more

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How to get rid of a stasis ulcer on my leg?

How to get rid of a stasis ulcer on my leg?

See a venous Dr.: Venous stasis is caused by valve problems that allow blood from deep high-pressure veins to enter low-pressure veins just under the skin. These veins enlarge, letting fluid through the walls (swelling), letting blood through (discoloration) and finally having so much back pressure that nutritious arterial blood cannot enter an area of the skin resulting in ulcers. It is treated by laser ablation. ...Read more

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How can you get rid of a stasis ulcer on my leg?

Pressure dressing: Stasis ulcers are usually venous, but sometimes the arteries can also be involved
also depending on how large the ulcer is
Usually a pressure dressing is applied if its strictly venous stasis ulcer.
It looks like a boot. This is the faster way to treat
If the ulcer is infected you may need an antibiotic or other topical dressing under the boot dressing. ...Read more

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How does one get rid of a stasis ulcer on one's leg?

How does one get rid of a stasis ulcer on one's leg?

Multiple factors: Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing. ...Read more

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Do compression stockings help with venous stasis ulcers?

Venous Ulcer RX: Compression is the key to treating venous stasis ulcerations. In a comprehensive wound care center, there are many different types of compression used. First, make sure that the level of compression that is being used is safe to use. Your wound care professionals will be able to assist you through this process. ...Read more

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What are the differences between a venous stasis ulcer and an ischemic ulcer?

Ulcer artery vs vein: Venous ulcers are due to high blood pressure of the veins resulting in the leakage of fluid into the tissues of the legs. Compression of the lower extremities and surgery on the veins can correct this. Ischemic ulcers are due to problems with arteries. There are larger arteries and small microscopic ones and either or both can have blockages. They usually can be discerned from each other. ...Read more

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I'm dealing with venous stasis ulcers in my leg and it looks as it's spreading to another part of my body but I really can't tell?

I'm dealing with venous stasis ulcers in my leg and it looks as it's spreading to another part of my body but I really can't tell?

Need to examine: It is not feasible to provide a meaningful opinion without examining you and your symptoms warrant evaluation by a physician. However, if you are overweight, it is imperative that you lose weight.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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I have had a venous stasis ulcer for 6 months. It was determined that it is caused by a valve insufficiency. What is the best and safest way to cure?

Remove the vein: Number one rule to heal venous stasis ulcer is to eliminate the stasis.
you can achieve that by wearing high pressure stocking.
eliminate prolonged standing or sitting.
eliminate the disease vein with a bad valve by having it removed either by destroying the vein from inside the lumen, or romove the vein completely, or destroying the vein from outside by laser.
losing weight might help.
keep leg up. ...Read more

Dr. Scott Bolhack
2,095 Doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Dr. James Jeng
115 Doctors shared insights

Silver Sulfadiazine (Definition)

Silver sulfadiazine is a topical ...Read more